Zachariou Dimitrios, Karampinas Panagiotis, Varsamos Iordanis, Galanis Athanasios, Vavourakis Michail, Spyrou Ioannis, Sakellariou Evangelos, Patilas Christos, Tsalimas Georgios, Kaspiris Angelos, Vlamis John, Pneumaticos Spiros
Third Department of Orthopedic Surgery, National and Kapodistrian, University of Athens, KAT General Hospital, Athens, Greece.
Ann Med Surg (Lond). 2024 Nov 14;86(12):7299-7304. doi: 10.1097/MS9.0000000000002731. eCollection 2024 Dec.
Lateral patellar dislocation is irrefutably one of the most common knee injuries, while subsequent medial patellofemoral ligament (MPFL) damage requires proper orthopedic care. Treatment of these injuries is regularly associated with the need for MPFL reconstruction surgery. This operation, often in combination with other procedures, can result very fruitful in restoring knee kinematics. There is a considerable variety of options for the orthopedic surgeon to choose from regarding graft selection when performing MPFL reconstruction surgery, including the semitendinosus tendon, the gracilis, and others. Notwithstanding, utilizing the fascia lata as an autograft or allograft for MPFL reconstruction has emerged as a promising alternative. Perusing the existing literature, not any review paper could be found examining the efficacy of fascia lata as a MPFL reconstruction graft. As a result, a thorough search was conducted in various databases to investigate and explore the studies analyzing this type of MPFL reconstruction surgery. The number of papers scrutinizing this operation was exceedingly narrow. However, out of these studies, it can be concluded that opting for fascia lata grafts when executing MPFL reconstruction surgery features some considerable advantages, involving similar biomechanics to the native MPFL, no hamstrings damage and quicker rehabilitation among others. This paper accentuates the requirement for considering fascia lata as a viable graft option in MPFL reconstruction surgery and the necessity for more pertinent research in order to attain more reliable inferences.
外侧髌骨脱位无疑是最常见的膝关节损伤之一，而随后的内侧髌股韧带（MPFL）损伤需要适当的骨科治疗。这些损伤的治疗通常需要进行MPFL重建手术。该手术通常与其他手术联合进行，在恢复膝关节运动学方面可能会取得非常好的效果。在进行MPFL重建手术时，骨科医生在移植物选择方面有相当多的选择，包括半腱肌腱、股薄肌等。尽管如此，使用阔筋膜作为自体移植物或同种异体移植物进行MPFL重建已成为一种有前景的替代方法。查阅现有文献，未发现任何综述文章研究阔筋膜作为MPFL重建移植物的疗效。因此，在各种数据库中进行了全面搜索，以调查和探索分析这种类型的MPFL重建手术的研究。仔细研究该手术的论文数量非常有限。然而，从这些研究中可以得出结论，在进行MPFL重建手术时选择阔筋膜移植物具有一些相当大的优势，包括与天然MPFL相似的生物力学、不损伤腘绳肌以及康复更快等。本文强调在MPFL重建手术中考虑阔筋膜作为可行移植物选择的必要性，以及进行更多相关研究以获得更可靠推论的必要性。
